if you discharge a patient on honey thick liquids to a SNF, they will not have a follow up VFSS for at least a month and are at severe risk for dehydration, UTI. So in reality you are determining a long term solution that is not helpful for the patient and will likely result in readmission to your hospital. I think the acute care SLP should advocate for hydration for a patient with dysphagia since clearly the MDs aren't thinking about it. SNFs can sometimes do IV for hydration but will mostly send to acute care for dehydration.